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How to Talk to Your Doctor About Leaking (Even If You’re Embarrassed)

Leaking urine, stool, or experiencing unexpected pelvic pressure can feel embarrassing—but it’s more common than many people realize. At Auria Pelvic Health, we want you to know that you are not alone, and talking to your doctor about these symptoms is an important step toward relief and better pelvic health.

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Why It’s Important to Speak Up

Leaking is often a sign of pelvic floor dysfunction, muscle weakness, or other treatable conditions.


The sooner you bring it up, the sooner you can get guidance, therapy, or treatment to improve your quality of life.


Ignoring it can lead to worsening symptoms or unnecessary frustration.


Tips for Bringing It Up Comfortably

1. Prepare Before Your Appointment

  • Write down your symptoms: frequency, triggers, and any patterns.

  • Note how the leaking affects your daily life, work, or activities. Having specifics helps your doctor understand the impact.


2. Use Clear, Direct Language

  • You don’t need to feel embarrassed—your doctor has likely heard it all.

  • Phrases like “I’ve been experiencing urine leakage when I cough or sneeze” or “I notice pelvic pressure during exercise” are straightforward and effective.


3. Remember It’s a Medical Issue

  • Leaking is not a personal failing—it’s a physical symptom that deserves professional attention.

  • Treat the conversation like any other health concern.


4. Ask Questions

  • What could be causing my symptoms?

  • Are there exercises, lifestyle changes, or therapies that could help?

  • When should I follow up if symptoms persist?


5. Bring an Advocate

  • A trusted friend, partner, or family member can provide support and help you remember what to discuss.


What to Expect From Treatment

Pelvic floor therapy is often highly effective for managing leaking. Programs may include:

  • Pelvic floor strengthening and relaxation exercises

  • Manual therapy to address muscle tone, circulation and neuromuscular integration

  • Core and hip integration to improve support

  • Lifestyle and behavior strategies to reduce symptoms


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With the right guidance, many people see significant improvement and regain confidence in their daily lives.


Takeaway


Leaking is nothing to be ashamed of. It’s a signal from your body that it needs support—and the best way to get help is to speak up.


Your doctor and a pelvic health specialist are there to listen, provide solutions, and help you regain comfort and control.


At Auria Pelvic Health, we’re here to support you with compassionate care and practical strategies, so you never have to navigate pelvic health concerns alone.




Auria Pelvic Health

8929 S Sepulveda Blvd., Ste. 412

Los Angeles, CA 90045

Phone: 310-505-6096


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Article Written By Dr. Sasha Speer, DPT


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